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2025 CPT code 58920

Wedge resection or bisection of one or both ovaries.

Adhere to the current CPT coding guidelines, especially those relevant to surgical procedures and female genital system codes.Use modifiers as appropriate.

Modifiers 22 (increased procedural services), 51 (multiple procedures), and others may be applicable depending on the circumstances.

Medical necessity is established by the presence of symptomatic ovarian cysts, endometriosis, or suspected malignancy.Documentation must support the clinical indication and the decision to perform a wedge resection rather than other interventions.

The provider is responsible for pre-operative assessment, administering anesthesia (general), performing the surgical procedure (incision, tissue excision, hemostasis, and closure), and post-operative care.

IMPORTANT:For ovarian drilling, consider 58999 (Unlisted procedure, female genital system (nonobstetrical)) as a comparison code.If a cystectomy was performed, 58925 (Ovarian cystectomy, unilateral or bilateral) may be appropriate. For laparoscopic approaches, 58662 might apply.For pelvic laparotomy, consider 49000.For secondary abdominal wall closure, consider 49900.

In simple words: The doctor removes a piece of one or both ovaries through a cut in the lower abdomen. This is often done to treat ovarian cysts or other problems, helping to reduce pain and improve ovarian function.

This procedure involves surgically removing a wedge-shaped section or bisecting (cutting in half) one or both ovaries through an abdominal incision.It's commonly performed to address ovarian cysts, endometriosis, or ovarian tumors. The goal is to alleviate pain, restore normal ovarian function, and prevent future complications while preserving as much ovarian tissue as possible. The procedure includes making an incision, identifying the ovarian vessels and the area to be removed, excising the tissue, suturing the remaining ovary, controlling bleeding, and closing the incision.

Example 1: A 35-year-old female patient presents with a large, symptomatic ovarian cyst.A wedge resection is performed to remove the cyst while preserving ovarian function., A 40-year-old female patient with endometriosis undergoes a bilateral ovarian wedge resection to reduce the endometrial tissue and alleviate pain., A 28-year-old female patient with a suspected ovarian tumor undergoes a unilateral ovariectomy (partial) via wedge resection to remove the suspicious tissue for pathological analysis.

Preoperative diagnosis, operative report detailing the procedure (including size and location of resection), pathology report if tissue was sent for analysis, post-operative recovery notes, and any complications encountered.

** This procedure is often performed laparoscopically; however, the CPT code remains the same.Appropriate documentation should reflect the approach used.The choice between wedge resection and oophorectomy depends on the extent of disease and the surgeon's judgment.

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